• Home
  • Agenda and minutes

Agenda and minutes

Venue: Board Rooms, Trust HQ, Great Western Hospital, Swindon. View directions

Contact: Carole Nicholl  01793 605171

Items
No. Item

478.

Apologies for Absence and Chair's Welcome

Roger Hill, Chair – Julie Soutter, Deputy Chair to chair the meeting

Minutes:

Apologies for absence were received from Roger Hill, Chair. Julie Soutter Deputy Chairman chaired the meeting in his absence.

479.

Declarations of Interest

Members are reminded of their obligation to declare any interest they may have in any issue arising at the meeting, which might conflict with the business of the Trust.

Minutes:

There were no declarations of interest.

480.

Questions from the public to the Board relating to the work of the Trust

Peter Pettit, Public Governor has asked: “From April of this year, NHS hospitals in England will have a legal duty to charge overseas patients upfront for non-urgent care if they are not eligible for free treatment.  What plans has the Trust to implement this duty?”  Karen Johnson, Director of Finance, to respond.

Minutes:

Peter Pettit, a Public Governor had asked “From April of this year, NHS hospitals in England would have a legal duty to charge overseas patients upfront for non-urgent care if they were not eligible for free treatment. What plans had the Trust to implement this duty?

 

In response, KJ explained that guidance had only just been received and was being reviewed. The Trust had an Overseas Manager who would focus on this. KJ explained that nationally there was difficulty in obtaining payment form overseas patients. The Trust’s Overseas Manager was working on this to ensure that the right questions were asked of patients to be sure they were eligible for treatment. Whilst overseas patients had been charged for their treatment it had not always been possible to secure the receipt of payments and like many other Trusts this Trust had lost income in this area. It was noted that this matter was being reviewed through the Finance and Investment Committee.   

481.

Minutes pdf icon PDF 597 KB

Julie Soutter, Deputy Chair

·        2 February 2017 (public and summary of private minutes)

Minutes:

The minutes of the meeting of the Board held on 2 February 2017 were adopted and signed as a correct record.

 

Arising upon consideration of minute 446/16 – Training Session, it was noted that the date for the training session for Non-Executive Directors on training finances with all members of the Board being invited to attend had been agreed and CN undertook to check the arrangements and circulate to Board members outside of the meeting.

482.

Outstanding actions of the Board (public) pdf icon PDF 345 KB

Minutes:

The Board received and considered the outstanding action list.  The Board noted updates as set out below:-

 

255/16

Finance Report – IT Schemes

It was noted that the Performance, People and Place Committee was due to receive a presentation on IT Strategy at its meeting in July and in the meantime would receive updates on IT priorities and other IT related matters. The Board therefore considered that this item could be closed on the Board Action Tracker. 

 

330/16

Reducing Agency Spend

It was noted that recruitment standards would be reported to the Executive Committee in April and OF would brief the Board on agency spend reduction in the next quarterly Strategy Update Report.  It was therefore agreed that this action could be closed on the Board Action Tracker. 

373/16

Presentation – Saturn on “Sort it” and TTA Mercury Ward

It was noted that a presentation had been made to the last meeting of the Board and therefore this item could be removed from the Tracker.

 

The Board agreed that completed actions be removed from the tracker and the updates be noted.

483.

Chair's Report, Feedback from the Council of Governors

Julie Soutter, Deputy Chair

Minutes:

The Chair gave a verbal report as follows: -

 

Council of Governors – JS reported that a meeting of the Council of Governor had taken place on 2 February 2017. Amongst other issues the Governors had discussed preparation for the forthcoming Care Quality Commission inspection later in March. A number of Governors had taken the opportunity to undertake further ward visits with the Compliance Team to observe the hospital at work. These had been well received by the Governors and would continue.

 

The Governors had received high level feedback from their away day about their effectiveness. A different approach to meetings of the Council of Governors was being thought through to include an enhanced role for the Chairs of the working groups in terms of reporting to the Council.

 

In addition, the Governors had been asked to consider a local quality indicator for inclusion in the end of year quality account. A number of suggestions had been put forward and these were being discussed with the external auditor to determine their suitability for auditing.       

 

Appointment of Non-Executive Director – JS was pleased to report that the Council of Governors had considered the recommendations of a meeting of the Joint Nominations Committee and had agreed the appointment of Peter Hill as a new Non-Executive Director of the Trust from 1 April 2017. Peter was the retiring Chief Executive of Salisbury NHS Foundation Trust and had a nursing background and he would therefore be able to bring a wealth of NHS experience to the Board.

 

JS advised that a Non-Executive Director vacancy remained and recruitment for this position was planned for later in the year. The Council of Governors had agreed that there should be staggering of Non-Executive Director appointments.

 

 

RESOLVED

 

that the report of the Chairman be received.

484.

Chief Executive's Report pdf icon PDF 188 KB

Nerissa Vaughan, Chief Executive

Minutes:

The Board received and considered a report from the Chief Executive, covering the following issues: -

 

·         Upcoming visit by the Care Quality Commission

·         Operational pressures

·         Helping to get patients home as early as possible

·         Waiting times for planned procedures

·         Update on community healthcare services in the Swindon

·         NICE approves pioneering cancer treatment

·         Focus on sepsis helps 90 per cent of patients to full recovery

·         Recruitment event for community staff and recruitment campaign

·         Official opening of new Swindon nursing campus

·         Nominations open for annual Patients' Choice Award

·         Armed Forces recruitment

 

In response to a comment by JS, NV reported that whilst NICE had approved pioneering cancer treatments, approval for funding from the Clinical Commissioning Groups had yet to be obtained.          

 

RESOLVED

 

that the report of the Chief Executive be received.

485.

Finance Report pdf icon PDF 121 KB

Karen Johnson, Director of Finance

Additional documents:

Minutes:

The Board received and considered a report on finance for month 10, together with a presentation as follows: -

 

Actual Operating costs

In month deficit of £40k. Total surplus of £198k compared to a target surplus of £362k year to date (variance of £164k worse than plan).

 

Contractual Income

£13.9m in month and £211.0m year to date (£1.8m above budget Year to date).

Total Income

£26.2m in month and £264.9m year to date (variance of £0.3m below budget Year to date).

Income Activity highlights

·         Elective inpatients below plan (year to date Elective inpatients above plan).

·         Day case activity below plan (year to date Day case activity below plan).

·         Non-elective below plan (year to date Non-elective above plan).

·         Outpatient appointments below plan (year to date Outpatient appointments below plan).

A&E is below plan (year to date A&E was above plan).

Total Expenditure

 

£26.2 in month and £264.7m Year to date (variance of £0.1m below budget Year to date).

Expenditure highlights in month:

·         Drugs £0.3m above budget (£1.8m above budget year to date).

·         Pay £0.1m above budget (£1.3m above budget year to date).

·         Supplies £0.3m above budget (£2.0m above budget year to date).

 

EBITDA

7.8% year to date

Savings

Savings plan of £14.24m of which all had now been identified.

£1.1m Cost Improvement Programme delivered in month against a budget of £1.3m.

£10.7m delivered against a budget of £11.7m year to date (£1.0m below budget).

Debtors

£55.8m debtors and stock

£13.2m above plan

Creditors

£55.6m creditors

£2.6m above plan

Cash

£1.8m (£2.4m under plan)

Loan

No Further Loans Agreed

Forecast

£44k surplus for the year (£556k below plan)

Finance Risk Ratings

Use of Resources (UoR) 3 (Rating 1 was now top and 4 was bottom).

 

The Board discussed the report and comments were made as follows: -

 

Forecast - KJ Highlighted that the forecast at Month 10 was a surplus of £44k. It was noted that the Trust had been successful in its appeal for Sustainability & Transformation Funding S&TF in respect of Quarter 2 performance.  However, there would be further scrutiny of this decision as it had become apparent that appeal applications had not been considered consistently by NHS England. KJ advised that NHS Improvement had been informed that the Trust’s forecast position assumed the Quarter 2 S&TF.

 

KJ advised that further draw down of the working capital facility had been discussed with NHS Improvement and that there was an intention for the Trust to pay off some creditors. AC explained his concern at the position regarding the S&TF commenting on the Trust’s inability to manage its cash position due to uncertainty around receipt of payments. NV responded advising that nationally the deficit position across the NHS had grown and other Trusts were in a similar position.

 

Creditors – KJ advised that 100 day creditors was not sustainable and that the Trust would be focusing on payment of these in the first instance. KJ advised  ...  view the full minutes text for item 485.

486.

Chair of Finance, Investment & Performance Committee Overview pdf icon PDF 167 KB

Steve Nowell, Non-Executive Director

Minutes:

The Board considered a report which summarised the key issues from a meeting of the Finance, Investment and Performance Committee held on 20 February 2017 which it was considered should be drawn to the attention of the Board covering the following: -

 

·         Overall financial performance

·         Income and Activity

·         Year End Forecast

·         Rolling Cash forecast

·         Cost Improvement Programme (CIP) overview

·         Unscheduled Care Division Overview

·         Procurement Transformation Plan

·         Procurement Policy

·         A & E data

·         Internal Audit Reports

 

In presenting the report SN highlighted that the Committee had considered a very comprehensive Procurement Transformation Plan. However, there were concerns around achievement against the national standards, but it was noted that many other Trusts were in a similar position and plans were in place to drive improvement.

 

In response to a challenge from AC regarding procurement practice, KJ advised that the Head of Procurement at Salisbury Foundation Trust was overseeing both Salisbury FT and this Trust.  The relationship with the Royal United Hospital in Bath was developing and good practice was being shared across organisations. KJ confirmed that Salisbury Foundation Trust and this Trust were both benefitting from the partnership working.   

 

RESOLVED

 

that the report be received.

487.

Improvement Plan Update pdf icon PDF 197 KB

Hilary Walker, Chief Nurse

Minutes:

The Board considered a report which provided an update on progress of “must do” milestone actions since the last meeting to deliver the required improvements in response to the Care Quality Commission (CQC) Inspection report received in January 2016.

 

HW reminded the Board that the Improvement Committee was charged with monitoring the delivery of actions arising out of the Improvement Plan on the back of the last CQC Inspection and more recently the Committee had a role in planning for the forthcoming CQC inspection later in the month. HW highlighted that there were a number of actions which had yet to be completely closed, details of which were set out in the report.

 

It was noted that the Committee had taken a role in hearing from the divisional management about their preparation for the forthcoming CQC inspection and HW was heartened by the efforts underway across the Trust and the work ongoing to deliver improvements. HW explained that there was now a focus on supporting staff to understand the improvement journey that the Trust had made, the work yet to do and the new challenges being faced.  Staff forums were being hosted to provide information and to receive feedback from staff.

 

SN commented that in his view it was correct to keep a number of actions open until such time as there was complete confidence that improvement was embedded. NV commented that there were a number of actions which were harder to deliver and measure. HW agreed commenting that on occasions talking to different staff resulted in different discussions and different levels of knowledge and understanding. HW explained that different teams felt differently about the forthcoming inspection, but all areas were aware of the inspection and were considering their improvements. HW explained that significant work had been undertaken to help teams recognise their outstanding practice and not be shy in coming forward with examples to share with the CQC.

 

HW commented that notwithstanding the final rating which would be given to the Trust, the significant amount of work undertaken since the last inspection across the entire organisation should be recognised.  It was hoped that that this would be reflected in the final report.  It was accepted that driving and embedding improvement would take some time. NLB agreed commenting that he could see major improvements since the last inspection.       

 

RESOLVED

 

that the report be received.

488.

Quality Report pdf icon PDF 114 KB

Hilary Walker, Chief Nurse

Additional documents:

Minutes:

The Board received and considered a report which provided commentary and progress on activity associated with key safety and quality indicators. The key points to note for January were as follows: -

 

  • The Hospital Standardised Mortality Ratio (HSMR) for the 12 month period November 2015 to October 2016 was 98.81.
  • There were no cases of Clostridium difficile during January 2017.
  • 3 Serious Incidents were reported by the Trust in January 2017, 1 of which was reported by Swindon Community Health Services.
  • There had been a slight decrease in the number of overdue investigations into incidents with 351 waiting over 14 days for investigation in January.
  • 1 Freedom to speak up alert was received during January 2017.

 

Hospital Standard Mortality Rate (HSMR) In response to a challenge from NLB around the HSMR data, GR undertook to check whether the HSMR included Swindon data.  

 

Patient Safety Indicators – GR highlighted that the indicators for “obstetric trauma with/without instruments” was alerting in month and although not a mortality indicator a full report had been presented to the Patient Quality Committee and was due to be presented to the Quality and Governance Committee later in March.

 

National Audits – GR referred to the National Audit Programme commenting that national audits were becoming more complex with greater resources required for their completion. Some of the respiratory audits were changing their methodology and there was a greater onus on continually providing data. In response to a challenge raised by JS around raising concerns nationally about the onus of national audits, GR confirmed there was no one organisation where representations could be made regarding concerns around the work associated with national audits. It was noted that a further four national audits had been added this year.

 

In response to a challenge from JS around penalties for not taking part with national audits, GR confirmed that there were potential reputational risks and contractual obligations with the Clinical Commissioning Group to consider.

 

Infection Prevention and Control – GR highlighted that there had be no cases of Clostridium difficile in January however there had been cases in February. GR commented on the level of activity across the organisation and commended the work underway to limit infection rates.

 

Serious Incidents – HW provided an update to the report in that of the three overdue action plans set out in the report, two had now been completed with the further one relating to the management of the medical take which it was expected would be closed imminently.

 

Mixed Sex Breaches – HW highlighted that due to operational pressures, there had been a number of mixed sex breaches mainly on the Day Surgery Unit. HW explained that the area for men and women was not completely separate but all efforts were being made to maintain privacy and dignity as far as possible. HW reported that it was not usual to receive complaints from patients about mixed sex breaches and reiterated that nursing teams were working hard to protect the privacy and  ...  view the full minutes text for item 488.

489.

Chair of Quality & Governance Committee Overview pdf icon PDF 185 KB

Jemima Milton, Non-Executive Director (deputising for Nick Bishop)

Minutes:

The Board received a report from JM on behalf of the Chair of the Quality & Governance Committee which summarised key issues considered by that Committee at its meeting held on 16 February 2017 covering the following: -

 

·         Oasis Monitoring and Activity - Maternity

·         Improvement Plan Update

·         Quality Report

·         Quality Governance Framework

·         Monitor’s (NHS Improvement) Quality Domains

·         Quality Impact Assessments Review

·         Safer Staffing Monthly Exception Report

·         NHS Blood and Transplant – Organ Donation

·         Swindon Community Health Services

·         Equality and Diversity Update

 

JM was joined by the members of the Board in expressing thanks to the staff responsible for ensuring a “gold standard” organ donation service.

 

RESOLVED

 

that the report be received and it be noted that the Quality & Governance Committee will continue to scrutinise and challenge the delivery of actions to drive improvements.

490.

Operational Performance Report pdf icon PDF 217 KB

Adrian Griffiths, Interim Chief Operating Officer

·        4 Hour Impact Team

Additional documents:

Minutes:

The Board considered the operational performance report which provided an update on performance against key national and local performance standards in addition to progress against key work streams and remedial recovery plans with headlines as follows: -

 

Standard                 

Standard required

Performance

Month

 

Trust 4 Hour Performance

95%

82.3%

Jan-17

Referral to Treatment (RTT)

92%

91.1%

Jan-17

Diagnostic Waiting Times

99%

98.6%

Jan 17

Cancer

2 Week Wait

31 Day

62 Day

 

93%

96%

85%

 

93%

96.5%

86%

 

Dec 16

 

AGr advised that performance against the Emergency Department (ED) 4 hour standard remained the biggest performance challenge. AGr highlighted that the performance for January of 82.3% included the Urgent Care Centre activity which would continue to be included each month going forward. AGr commented that the Trust’s performance reflected the national position and also the 11% increase in admissions being experienced compared to last year.

 

AGr commented that the levels of activity were challenging and many patients were frail and elderly with existing health conditions. AGr explained that because of the number of admissions and the acuity of patients it was difficult to treat patients quickly and that significant attention was required to ensure that patients went where they needed to go. AGr explained that partner discharges had been very slow and that NHS Improvement (NHSI) and NHS England (NHSE) had had discussions system wide around more capacity.

 

Reference was made to “Gold” calls which AGr explained were not working effectively in terms of partners committing to additional resource.  Plans were being considered to improve the effectiveness of the calls.

 

In response to a question raised, AGr explained that “Silver” calls were held on a daily basis and consisted of operational managers across the system talking about patients and the number of discharges. AGr explained that when there was insufficient capacity the concerns were escalated to a “Gold” call comprised or more senior Executives. At present the Gold calls were taking place nearly every day. To improve their effectiveness a Standard Operating Procedure had been introduced with a focus on partners being prepared to put in additional capacity over and above what they would normally provide in order to improve patient flow. AGr commented that there was a need to discharge approximately 25 patients a day.

 

NV commented that there needed to be a very clear capacity plan across the system to enable a shared understanding of capacity levels of all partners. A faster approach around the system was needed with a focus on larger numbers of discharges. NV commented that without system capacity, the highest risk patients could end up in the Emergency Department and waiting in ambulance queues which amounted to a less than a positive patient experience and potentially safety issues.

 

In response to a challenge from SN regarding delayed transfers of care and action underway, NV commented that she believed the situation in Swindon could be temporary in that there was the potential for increased Social Services support.  In Wiltshire the main area of concern was lack  ...  view the full minutes text for item 490.

491.

Chair of Performance, People & Place Committee Overview pdf icon PDF 161 KB

Steve Nowell, Non-Executive Director

Minutes:

The Board received a report from the Chair of the Performance, People & Place Committee which summarised key issues considered by that Committee at its meeting held on 22 February 2017 covering the following: -

 

·         Operational Performance Report

·         EU Referendum Progress Report

·         Workforce Report

·         eRostering Implementation Plan

 

In presenting the report SN advised that the Committee had considered informative information regarding overseas recruitment and staff retention. It was highlighted that 258 employees had been recruited from outside the EU and that messages of support around their continued employment by this Trust had been given, notwithstanding the outcome of the EU Referendum. It was noted that 47 nurses had failed to pass the IELTS English language test and these staff were now considering whether to return to their home country or to relocate to Ireland where the English language test requirements were less onerous.

 

In response to a question raised, it was noted that review of the IELTS test remained on the agenda for the Nursing Medical Council and the Board would be kept updated of any changes which might be agreed.

 

KM commented on the 25% reduction in nurses applying for a bursary noting that places at Oxford Brookes had not been filled.      

 

SN advised that the Performance, People and Place Committee had reviewed the Monthly Workforce Report with the area of concern identified relating to sickness absence.

 

Finally SN highlighted that the E-Roster Implementation Project had been delayed until after the Care Quality Commission Inspection in March and quarterly updates would be considered by the Performance, People and Place Committee.

 

RESOLVED

 

that the report be noted.

492.

Safer Staffing Monthly Exception Report pdf icon PDF 371 KB

Hilary Walker, Chief Nurse

Additional documents:

Minutes:

The Board considered a report which provided the monthly exception reporting on actual nursing and midwifery staffing compared to that planned, together with associated quality impacts. In January the position was as follows: -

 

Proportion of actual versus planned nursing hours (fill rate):

 

Registered Nurses

Auxiliary Nurses

Day Shift

90.1%

106.1%

Night Shift

104.1%

102.4%

 

Average skill mix ratio (day): -

RN

60.9%

Care staff

39.1%

 

RESOLVED

 

that the report be received.

493.

Safer Staffing - 6 monthly skill mix review pdf icon PDF 506 KB

Hilary Walker, Chief Nurse

Minutes:

The Board considered a report which provided details of the nursing and midwifery 6 monthly skill mix review undertaken against the current establishments. 

 

HW reminded the Board that paper set out the work of the Senior Nursing Team to review the skills mix every six months. The report described how the nursing teams were reviewed in terms of determining the right numbers and bands. It was explained that some areas had no changes and other areas had some changes which required the development and approval of business cases for investment.

 

In response to a challenge from AC around investment, it was noted that the £1.4m Emergency Department investment was included in the report in order to formalise the existing position.

 

In response to a challenge by JS about the role and need for a Theatre Runner, it was noted that a Theatre Runner was an individual on hand to ensure that equipment and resources required during a theatre session were readily available.  

 

RESOLVED

 

that the report be noted.

494.

Ratification of Decisions made via Board Circular/Board Workshop

Carole Nicholl, Director of Governance & Assurance / Company Secretary

Minutes:

The Board was asked to ratify the Complaints Policy which had been approved via Board Circular dated 9 February 2017 and also to ratify amended Terms of Reference for the Finance and Investment Committee approved via Board Circular dated 10h February 2017.  Details of the amendments to each had been included in the respective circulars.

 

RESOLVED

 

(a)   that the Complaints Policy be approved; and

 

(b)   that the Terms of Reference of the Finance and Investment Committee be approved.

495.

Register of Interests and Declaration of Interests at Meetings Annual Review pdf icon PDF 167 KB

Carole Nicholl, Director of Governance & Assurance / Company Secretary

Additional documents:

Minutes:

The Board had before it a report which provided an annual reminder to Board members of their obligation to register any relevant and material interests as soon as they arise or within 7 clear days of becoming aware of the existence of the interest and to also make amendments to their register of interests as appropriate.  The report also reminded of the need to declare interests at meeting.  A copy of the register was attached to the report.

 

RESOLVED

 

(a)      that the requirement of directors to register their relevant and material interests as they arise or within 7 clear days of becoming aware of the existence of an interest be noted;

 

(b)      that the requirement to keep the register up to date by making amendments to any registered interests as appropriate be noted;

 

(c)      that the requirement to declare the existence of registered interests or any other relevant and material interests at meetings be noted including the requirement to leave the meeting room whilst the matter is discussed; and

 

(d)      that the Director’s Register of Interests be received and it be agreed that the Board is assured that the requirements of the Constitution to maintain a register of interest of Board Directors are being met.

496.

Urgent Public Business (if any)

To consider any business which the Chairman has agreed should be considered as an item of urgent business and to note the reasons for the urgency.

Minutes:

None.

497.

Date and Time of next meeting

Date: 6 April 2017

Time: 9:30am

Venue: Trust Management Boardrooms, Trust HQ, 2nd Floor, Great Western Hospital

Minutes:

It was noted that the next meeting of the Board would be held on 6 April 2017 at 9:30am in Trust Boardrooms, Trust HQ, Great Western Hospital, Swindon.

498.

Exclusion of the Public and Press

The Board is asked to resolve:-

 

that representatives of the press and other members of the public be excluded from the remainder of this meeting having regard to the confidential nature of the business to be transacted, publicity of which would be prejudicial to the public interest” when the following items are considered: -

·        Minutes

·        Hospital Pharmacy Transformation Programme (HPTP) Plan

·        Swindon Community Contract Negotiations – verbal update

·        Sustainability & Transformation Plan – verbal update

·        PFI – verbal update

·        Award of Contract for Nursery Care Service

·        Wiltshire Health & Care – verbal update

·        Charitable Funds Committee – verbal report

·        Executive Committee Minutes

·        Finance, Investment and Performance Committee Minutes

·        Joint Nominations Committee – verbal report

·        Performance, People & Place Committee Minutes

·        Quality & Governance Committee Minutes

·        Urgent Private Business (if any)

Minutes:

RESOLVED

 

that representatives of the press and other members of the public be excluded from the remainder of this meeting having regard to the confidential nature of the business to be transacted, publicity of which would be prejudicial to the public interest when the following items are considered: -

 

·        Minutes

·        Outstanding Actions of the Board (Private)

·        Hospital Pharmacy Transformation Programme (HPTP) Plan

·        Swindon Community Contract Negotiations – verbal update

·        Sustainability & Transformation Plan – verbal update

·        PFI – verbal update

·        Award of Contract for Nursery Care Service

·        Wiltshire Health & Care – verbal update

·        Charitable Funds Committee

·        Executive Committee Minutes

·        Finance, Investment and Performance Committee Minutes

·        Joint Nominations Committee Minutes

·        Performance, People & Place Committee minutes

·        Quality & Governance Committee Minutes

·        Urgent Private Business (if any)

499.

Minutes

Julie Soutter, Deputy Chair

·        2 February 2017 (private)

Minutes:

 

The minutes of the meeting of the Board held in private on 2 February 2017 were adopted and signed as a correct record subject to amendment.

 

500.

Outstanding Actions of the Board (Private)

Minutes:

The Board received and considered the outstanding actions list.  The Board noted progress against the actions and agreed that completed actions be removed.

501.

Hospital Pharmacy Transformation Programme (HPTP) Plan

Guy Rooney, Medical Director

Minutes:

The Board received and considered a report which provided an overview of key actions to support delivery of the recommendations in the Carter Report by 2020.

 

The Board noted the report and also noted that any business case would be presented through the Business Improvement Group (BIG) process.

502.

Swindon Community Contract Negotiations

Karen Johnson, Director of Finance

Minutes:

The Board received a verbal update regarding the contract negotiations for Swindon Community Services. 

503.

Sustainability & Transformation Plan

Karen Johnson, Director of Finance

Kevin McNamara, Director of Strategy

Minutes:

The Board received a verbal update regarding the Sustainability & Transformation Plan.

504.

Public Finance Initiative (PFI)

Kevin McNamara, Director of Strategy

Minutes:

The Board received a verbal update regarding the Private Finance Initiative (PFI).

505.

Award of Contract for Nursery Care Service

Oonagh Fitzgerald, Director of Human Resources

Minutes:

The Board received and considered a report seeking approval for the award of contract for on-site nursery care services.  The Board agreed the award of contract to Co-Operative Childcare.

 

506.

Wiltshire Health & Care

Hilary Walker, Chief Nurse

Minutes:

The Board received and considered a verbal report which provided an update from Wiltshire Health and Care (WH&C) on matters of relevance to the Trust. The Board noted the report.

 

 

507.

Charitable Funds Committee

Jemima Milton – Committee Chair

·        1 February 2017 (verbal report)

Minutes:

It was noted that a meeting of the Charitable Funds Committee had been held on 1 February 2017. 

 

508.

Executive Committee

Nerissa Vaughan – Committee Chair

·        14 February 2017 (verbal report)

·        17 January 2017 (enclosure)

Minutes:

The minutes of the meeting of the Executive Committee held on 17 January 2017 were received.  Furthermore, it was noted that a meeting of the Executive Committee had been held on 14 February 2017.

509.

Finance and Investment Committee

Steve Nowell – Committee Chair

·        20 February 2017 (written report)

·        23 January 2017 (enclosure)

Minutes:

The minutes of the meeting of the Finance & Investment Committee held on 23 January 2017 were received.  Furthermore, it was noted that a meeting of the Finance & Investment Committee had been held on 20 February 2017.

510.

Joint Nominations Committee

Carole Nicholl – Director of Governance & Assurance / Company Secretary

·        31 January 2017 (verbal report)

Minutes:

It was noted that a meeting of the Joint Nominations Committee had been held on 31 January 2017.

511.

Performance, People & Place Committee

Steve Nowell – Committee Chair

·        22 February 2017 (written report)

·        25 January 2017 (enclosure)

Minutes:

The minutes of the meeting of the Performance, People & Place Committee held on 25 January 2017 were received.  Furthermore, it was noted that a meeting of the Performance, People & Place Committee had been held on 22 February 2017.

512.

Quality & Governance Committee

Nick Bishop - Committee Chair

·        16 February 2017 (written report)

·        20 January 2017 (enclosure)

Minutes:

The minutes of the meeting of the Quality & Governance Committee held on 20 January 2017 were received.  Furthermore, it was noted that a meeting of the Quality & Governance Committee had been held on 16 February 2017.

513.

Urgent Business (Private) (if any)

To consider any business which the Chairman has agreed should be considered as an item of urgent business.

Minutes:

None.